肾上腺肿瘤及肿瘤样病变的CT诊断
Journal of Practical Medical Imaging(2008)
Abstract
目的探讨螺旋CT扫描对肾上腺肿瘤及肿瘤样病变的诊断及鉴别诊断价值。方法回顾性分析65例共73个肾上腺肿瘤及肿瘤样病变的CT表现,与手术病理对照。结果65例肾上腺占位病变中,肾上腺增生12例,腺瘤18例,皮质癌7例,肾上腺转移癌11例,嗜铬细胞瘤7例,髓样脂肪瘤4例,神经节瘤2例,肾上腺畸胎瘤、血肿、囊肿及结核各1例。肾上腺良性病变直径多小于3cm,边界清晰(73.9%,34/46),48.4%的恶性肿瘤直径大于3cm。肾上腺转移瘤多双侧发病(6/11)。4例肾上腺髓脂瘤均呈脂肪为主型。结论螺旋CT扫描对肾上腺病变的诊断及鉴别诊断具有重要价值,并有助于选择治疗方案和判断预后。
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Key words
X-ray computed,Tomography,Adrenal tumors,Tumor-like lesions
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